Individual
NICHOLAS J OKON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1410 NW KEARNEY ST, #727, PORTLAND, OR 97209-2755
(206) 604-8142
Mailing address
1410 NW KEARNEY ST, #727, PORTLAND, OR 97209-2755
(206) 604-8142
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
D01594
NV
2084N0400X
Neurology Physician
Primary
DO29152
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346200524
—
NV
05
—
500605951
—
OR
Enumeration date
03/23/2006
Last updated
09/26/2017
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